| NPI | 1770553125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDELL R. REMONDER President 937-465-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |